An unannounced monitoring inspection was conducted today, June 4, 2018 to determine the provider's compliance with family day home standards. The inspection was initiated at 10:30 am and concluded at 1:00 pm. Upon the inspector's arrival, nine children were in care with two caregivers for a value of 24 points. Shortly after an additional caregiver arrived. Children were observed singing and dancing to a music video. Songs identified body parts and children pointed to them as they sang along. The three infants were sleeping at the time of the inspector's arrival. Later children had time outside to play with small trikes and toys. Upon returning inside children had bathroom breaks, diapering was conducted and hand washing. Lunch time was also observed. Today's lunch consisted of pasta, tomato sauce, mozzarella cheese, applesauce, mixed vegetables and milk. All areas used for child care were inspected along with a walk through of the entire home. The family day home has age appropriate materials and supplies. The provider had the following required information posted: The license, last inspection notice, emergency numbers, allergies, menu, and attendance sign in and out sheets. The first aid kits and non-medical emergency supplies were inspected and found complete. The inspector interacted with caregivers and children in care.

Three caregivers records and nine children's records were reviewed.The provider has current MAT. Medications, allergy action plans were reviewed. The most recent evacuation drill was documented on 05/21/2018. The two required shelter-in-place drills for 2017 were completed on 06/29/2017 and 12/11/2018. A lock down drill was completed on 06/29/2017.

Transportation is not provided.The emergency preparedness plan was reviewed and current.If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Based on review of caregiver records, the provider did not obtain all required information for each assistants' and substitute providers' records.
Evidence:
The record of caregiver #3, hired 02/08/2018, did not have documentation of two references that were checked before employment.

Plan of Correction:

Per the provider: I will be sure to document references in file.

Standard #:

22VAC40-111-170-A

Description:

Based on review of caregiver records, the provider did not obtain documentation of a current tuberculosis screening for each caregiver at the time of hire.
Evidence:
Caregiver #3, hired 02/08/2018, had documentation of a tuberculosis screening dated 04/03/2018, exceeding the requirement to obtain at the time of hire.

Plan of Correction:

Per the provider: I was unaware TB tests need to be completed at hire. I will make sure all new hires have TB done before hire date.

Standard #:

22VAC40-191-60-C-2

Description:

Based on review of caregiver records, the provider did not obtain a central registry finding within 30 days of employment or volunteer service.
Evidence:
Staff #3, hired 02/08/2018, had a central registry finding dated 04/05/2018, exceeding the 30 days from hire allowance to obtain.

Plan of Correction:

Per the provider: I will send the request for the central registry off at hire to ensure it is returned within the 30 days from hire.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.